{include file=header.html}
<div id="customer_message" class="clearfix">
    <div class="purpose_wrap w">
        <h3>{$lang.complaints}</h3>
        <div class="purpose_box clearfix">
            <form method="post">
                <div class="from_left_wrap">
                    <p>{$lang.complaints_notice0}</p>
                    <p>{if $page_phone_tel neq ''}{$lang.complaints_notice1}<span class="site_phone">{$page_phone_tel}</span>（{$lang.every_moinning}）{/if}</p>
                    <p>{$lang.complaints_notice2}</p>
                    <div class="txt_area">
                        <textarea id="message" name="message"></textarea>
                    </div>
                </div>
                <div class="from_right_wrap">
                    <ul>
                        <!--{if $type == '1'}-->
                        <li>
                            <label>{$lang.suggestion}</label>
                        </li>
                        <!--{/if}-->
                        <!--{if $type == '2'}-->
                        <li>
                            <label>{$lang.complain_store}</label>
                            {$store.store_name|escape}
                        </li>
                        <!--{/if}-->
                        <!--{if $type == '3'}-->
                        <li>
                            <label>{$lang.complain_goods}</label>
                            {$goods.goods_name|escape}
                        </li>
                        <!--{/if}-->
                        <li>
                            <label>{$lang.contact_name}</label>
                            <input type="text" id="realname" name="realname" value="" maxlength="5" class="ipt">
                        </li>
                        <li>
                            <label>{$lang.contact_number}</label>
                            <input type="text" id="mobile" name="mobile" value="" maxlength="11" class="ipt">
                        </li>
                        <li>
                            <label></label>
                            <input type="submit" class="summit"/>
                        </li>
                    </ul>
                </div>
            </form>
        </div>
    </div>
</div>



{include file=footer.html}